Dental Board of California
Licensing details for: 51699
Name: MAZAHERI, ENSIEH HOURA
License Type: Dentist
Primary Status: Expired
Address of Record
4762 PARK GRANADA #265
CALABASAS CA 91302
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: ENSIEH MAZAHERI, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 10773 Primary Status: Cancelled
Address :
13060 GLENOAKS BLVD. #105-B
SYLMAR CA 91342
LOS ANGELES COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: ENSIEH MAZAHERI, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 10778 Primary Status: Cancelled
Address :
14550 HAYNES ST. #103
VAN NUYS CA 91342
LOS ANGELES COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: MAZAHERI, ENSIEH HOURA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 671 Primary Status: Cancelled
Address :
929 N. ORANGE GROVE BLVD
PASADENA CA 91103
LOS ANGELES COUNTY
